Continuous vs. Interrupted Suturing in Episiotomy Which Heals Better A Clinical Comparison

Introduction

Episiotomy is a common obstetric procedure, but the choice of suturing technique can significantly affect recovery outcomes. This comparative study investigates the healing efficiency between continuous and interrupted episiotomy suturing methods.
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Key Findings from the Study

Conducted over two years at MGM Medical College and Research Centre, this study assessed 200 women with episiotomies 100 each undergoing continuous and interrupted suturing.

Study Parameters:

• Sample Size: 200 women (100 per group)
• Evaluation Metric: REEDA Score (Redness, Edema, Ecchymosis, Discharge, Approximation)
• Observation Timeline: Day 1, Day 2, and Day 3 postpartum

Results at a Glance:

• Day 1 REEDA Score:
  • Continuous: 3.07
  • Interrupted: 3.60
• Day 3 REEDA Score:
  • Continuous: 1.83
  • Interrupted: 2.19
• Statistical Significance:
  • Healing was significantly faster in the continuous suturing group on all three days (p < 0.05).

Clinical Implications & External Reference

According to the Royal College of Obstetricians and Gynaecologists (RCOG), effective perineal repair plays a vital role in reducing postnatal morbidity. Choosing a technique that ensures quicker healing and minimizes discomfort is critical in improving maternal outcomes.
The RCOG underscores that standardized training in perineal repair techniques, including continuous suturing, is essential for obstetric care providers.

Why Continuous Suturing Is Clinically Preferred

• Less Post-operative Pain
• Better Cosmetic Outcome
• Fewer Materials Used
• Quicker Procedure Time
• Improved Healing Score

A detailed analysis can be found in our main journal article: https://doi.org/10.29328/journal.cjog.1001084

Conclusion

This study strongly recommends the continuous method of suturing episiotomies using Vicryl Rapid 2.0 as the routine clinical approach for better healing outcomes and patient satisfaction.

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